Bilateral brucellosic psoas abscess: one case is related and literature review

• Published in: Actas urologicas españolas Vol. 29; no. 7; pp. 704 - 707
• Main Authors: Romero Otero, J, Martínez Silva, V, Pamplona Casamayor, M, Capitán Manjón, C, Piedra Lara, J, Leiva Galvis, O
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.07.2005
• Subjects: Adult; Anti-Bacterial Agents - therapeutic use; Brucella - immunology; Brucellosis - diagnosis; Brucellosis - drug therapy; Drainage; Humans; Male; Psoas Abscess - diagnostic imaging; Psoas Abscess - microbiology; Psoas Abscess - surgery; Tomography, X-Ray Computed; Treatment Outcome
• ISSN: 0210-4806; 1699-7980

The Brucellosis is a zoonotic and unfrequent infection but it is endemic in Spain. It is a well documented cause of fever of unknown origin with varied and nonspecific symptoms. The onset of symptoms of brucellosis may be abrupt or insidious, developing over several days to weeks. Virtually any organ system can be involved with brucellosis and localization of the process may cause focal symptoms. The most frequent focal presentation is the osteoarthicular. Some times it can complicates with para-perivertebral abscess. The unilateral psoas abscess(PA) is uncommon and the bilateral afection is exceptional. The manifestations of PA usually are insidious, the classic tiad of: feber, lumbar pain and functional impotence is rare. For the diagnosis the serology c tests and cultures are necesary. The imaging techniques like: Ultrasonography and Tomography have improved the diagnosis and treatment of this pathologies' complications. The recommended therapy is the use of doxycicline and streptomicine. Some times the use of percutaneous drainage or open surgery is necessary.